Provider Demographics
NPI:1740799725
Name:TELEHEALTHDOCS MEDICAL CORPORATION
Entity Type:Organization
Organization Name:TELEHEALTHDOCS MEDICAL CORPORATION
Other - Org Name:TELEHEALTHDOCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:QUON
Authorized Official - Middle Name:TED
Authorized Official - Last Name:LOUEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-840-9270
Mailing Address - Street 1:2215 TRUXTUN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3602
Mailing Address - Country:US
Mailing Address - Phone:661-840-9270
Mailing Address - Fax:661-864-7848
Practice Address - Street 1:100 E NORTH ST
Practice Address - Street 2:
Practice Address - City:TAFT
Practice Address - State:CA
Practice Address - Zip Code:93268-3606
Practice Address - Country:US
Practice Address - Phone:661-840-9270
Practice Address - Fax:661-864-7848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-22
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty